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OLUSOLA CARLTON OLAWALE
NPI 1205327764
Nurse Practitioner - Primary Care in Hampton, GA

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment
1684 THORN RIDGE TRL, HAMPTON, GA 30228(614) 599-3617(877) 779-5837 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2021, Apr 3, 2020, Jun 18, 2018 and 1 more (4 updates tracked since 2018).

About Olusola Carlton Olawale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUSOLA CARLTON OLAWALE (NPI 1205327764) is an individual primary care provider in Hampton, Georgia, licensed in Georgia (RN201539) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205327764
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameOLUSOLA CARLTON OLAWALE
Location Address1684 THORN RIDGE TRLHampton, GA 30228
Mailing Address1684 Thorn Ridge TrlHampton, GA 30228-6129 · (614) 599-3617 · Fax (877) 779-5837
Phone(614) 599-3617
Fax(877) 779-5837
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateMay 5, 20214 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1205327764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN201539
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN201539 (GA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN201539 (GA)
1684 THORN RIDGE TRL, Hampton, GA 30228
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olusola Carlton Olawale is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496005076
PECOS Enrollment IDI20180830003632
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Olusola Olawale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inner Community Health
39 mi
Psychiatry
2180 SATELLITE BLVD STE 400
Duluth, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 17 clinicians in this Medicare group
NPI 1891398541 (800) 620-6950
Oconee Community Service Board
69 mi
Community/Behavioral Health
1239 ORCHARD HILL RD
Milledgeville, GA 31061
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1295922128 (478) 445-4721
Grow Healthcare Group PA
585 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services22 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIUM CARE HEALTH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
1684 THORN RIDGE TRL
HAMPTON, GA 30228
Henry County (614) 599-3617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olusola Olawale's NPI number?

The NPI number for Olusola Olawale is 1205327764. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Olusola Olawale located?

Olusola Olawale practices at 1684 Thorn Ridge Trl, Hampton, GA 30228. The listed phone number is (614) 599-3617.

What is Olusola Olawale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Olusola Olawale enrolled in Medicare?

Yes. Olusola Olawale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Olusola Olawale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olusola Olawale reassigns Medicare benefits to 3 organizations: Inner Community Health (Duluth, GA), Oconee Community Service Board (Milledgeville, GA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olusola Olawale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olusola Olawale accept?

Health plans from Cigna HealthCare of Arizona, Inc list Olusola Olawale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olusola Olawale was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.